IntroductionPoor retention of patients in care is a major driver of poor performance and increased morbidity and mortality in HIV/AIDS programme despite the expansion and advancement Anti-retroviral Therapy (ART). The objective of this study is to assess retention rates and possible determining factors in People Living with HIV (PLHIV) on ART.MethodsThis is a descriptive, cross-sectional study conducted in Federal Medical Center, Ido-Ekiti, Nigeria. Medical records of clients who were enrolled in ART Care and support unit (HIV Clinic) of the health facility from 2005 to 2012 were reviewed and analyzed using SPSS version 16. A total of 621 client records were reviewed for basic demographic information, CD4 count, WHO stage, number of follow-up visit, client ART status and client retention status (defined as client attending at least one clinic visit in 2012.ResultsA total of 347(63%) patients were retained in care and 208(37%) were not retained over the seven year review period. Retention was statistically significant with age (P-value 0.031), ART status (P-value 0.000) baseline CD4 (P-value 0.004), year of diagnosis and ART initiation (P-value= 0.027). Poor retention was associated decreasing age, pre-ART client, HIV stage 1&IV client and baseline CD4 above 400cell/mm3.ConclusionRetention in care of PLHIV is a minimum necessary condition for maintaining or restoring health in the long run. The strategies to sustain and improve retention rate should be adopted to maximize ART benefits. A follow-up study on other factors affecting retention from diagnosis to long term retention ART programme is recommended.
Background: COVID-19 pandemic has affected virtually all spheres of society. As countries await the COVID-19 vaccine, it is imperative to plan for its financing to ensure high vaccine coverage. This study aimed to determine the willingness to pay for COVID-19 vaccine among adult residents of Osun State.Methods: A cross-sectional analytical study design was employed. Seven hundred and forty-four respondents were enrolled from three selected Local Government Areas using multistage sampling method. An interviewer-administered questionnaire in electronic format (Kobo Collect) was used for data collection while the data was analysed using SPSS version 25. Determinants of willingness to pay for COVID-19 vaccine were assessed using binary logistic regression. A p-value of < 0.05 was considered statistically significant.Results: About one-quarter, 181 (24.3%) were willing to pay for COVID-19 vaccine. The median amount respondents were willing to pay was ₦650 (IQR= ₦1563) [$1.71 (IQR = $3.96)]. Being a healthcare worker (Odds ratio = 2.0, 95% CI =1.085–3.712, p=0.026), perception of susceptibility (Odds ratio = 1.9, 95%CI = 1.232-2.973, p=0.029) and self-efficacy (Odds ratio = 2.5, 95% CI = 1.571 – 4.071, p<0.001) were significant positive determinants of willingness to pay for COVID-19 vaccine. Misconceptions or perceived barriers were not significant determinants of willingness to pay for the vaccine.Conclusion: These findings indicate that there is a need for health promotion interventions to correct misconceptions about COVID-19. Government and private donor interventions may be required to subsidize the vaccine to ensure high vaccine coverage.
Background: Vaccine has been identified as the most cost-effective way of fighting COVID-19 pandemic. As most countries await the COVID-19 vaccine for mass administration amidst numerous misconceptions, it is imperative to assess willingness of the masses to take the vaccine. This study aimed to assess the determinants of willingness to uptake COVID-19 vaccines among residents of Osun State.Methods: A descriptive cross-sectional study design was employed. Seven hundred and forty-four respondents were enrolled from three selected local government areas using a multistage sampling method. Interviewer administered questionnaire, structured based on the health belief model and social cognitive theory, in electronic format (Kobo Collect) was used for data collection. Determinants of willingness to take COVID-19 vaccine were assessed using binary logistic regression.Results: About three-quarters (59.1%) of the respondents were willing to take the vaccine. There was a significant association between positive perception and willingness to take COVID-19 vaccine, p<0.001. Being a healthcare worker, having good knowledge of the disease, and willingness-to-pay for the vaccine were significant determinants of willingness to uptake COVID-19 vaccine. Presence of misconception had a negative effect on the uptake of COVID-19 vaccine.Conclusions: To achieve high COVID-19 vaccine coverage, there is a need for health promotion interventions to correct misconceptions about COVID-19. Government and private donor interventions may be required to subsidize the vaccine to care for the populace who are willing to uptake but unable to pay for the vaccine.
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